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MEDICAL HOME VISITS OF NY P.C.

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Company Details

Name: MEDICAL HOME VISITS OF NY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Oct 2017 (8 years ago)
Entity Number: 5224371
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 106-15 QUEENS BLVD, UNIT B15, FOREST HILLS, NY, United States, 11375
Principal Address: 10615 QUEENS BLVD #B15, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 106-15 QUEENS BLVD, UNIT B15, FOREST HILLS, NY, United States, 11375

Chief Executive Officer

Name Role Address
VYACHISLAV ABAYEV Chief Executive Officer 10615 QUEENS BLVD #B15, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1821503434

Authorized Person:

Name:
VYACHISLAV ABAYEV
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-11-01 2023-11-01 Address 10615 QUEENS BLVD #B15, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2017-10-26 2023-11-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2017-10-26 2023-11-01 Address 106-15 QUEENS BLVD, UNIT B15, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231101041534 2023-11-01 BIENNIAL STATEMENT 2023-10-01
221102000168 2022-11-02 BIENNIAL STATEMENT 2021-10-01
171026000262 2017-10-26 CERTIFICATE OF INCORPORATION 2017-10-26

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$3,881
Date Approved:
2020-06-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,881
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$3,920.13
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $3,881

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State